Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Carmen Vazquez, LCSW

Individual provider Clinical Social Worker · NPI 1568985729

Mary Carmen Vazquez, LCSW is a Clinical Social Worker in Fort Drum, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Partly verified

Some contact details are missing from the federal record.

USA Meddac 11050 Mount Belvedere Blvd
Fort Drum, NY 13602
Phone: (315) 772-0970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 084653 (NY)
School Social Worker Taxonomy 1041S0200X (NY)
Social Worker Taxonomy 104100000X · Licence 084653 (NY)

Record details

NPI number1568985729
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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